经阴道三维超声和宫腔镜在绝经后子宫内膜良恶性病变诊断中的价值探讨

目的 通过对本院子宫内膜良恶性病变患者进行回顾性分析,探讨经阴道三维超声和宫腔镜在绝经后子宫内膜良恶性病变中的诊断价值。方法回顾性分析本院2010年10月~2014年6月疑似子宫内膜病变患者120例。以病理检查为确诊标准,分别采用经阴道三维超声和宫腔镜进行检查,比较两种检查方法的诊断结果。结果和宫腔镜对比,经阴道三维超声的诊断符合率、阴性检出率、特异性检出率明显低于宫腔镜,两种检查方法在这三个方面的数据比较差异具有统计学意义(P<0.05)；然而,经阴道三维超声和宫腔镜在阳性检出率、敏感性比率两方面的数据比较差异不具有显著性(P>0.05)。结论经阴道超声检查是一种筛查子宫内膜病变较好的方法;阴道超声联合宫腔镜检查对诊断绝经后子宫内膜病变具有重要价值。

Transvaginal Three-dimensional Ultrasonography and Hysteroscopy in Postmenopausal Normal Endometrium and Endometrial Value in Diagnosis of Benign and Malignant Lesions

Objective Patients with endometrial benign and malignant lesions in our hospital were retrospectively analyzed,to discuss the diagnostic value transvaginal three-dimensional ultrasonography and hysteroscopy in postmenopausal normal endometrium and endometrial benign and malignant lesions.Methods120 suspected patients with endometrial lesions as the research object in October 2010~June 2014 were retrospectively analyzed,using transvaginal three-dimensional ultrasonography and hysteroscopy check respectively to compare two methods of examination of diagnosis.ResultsThe coincidence rate,negative detection rate and specificity of transvaginal three-dimensional ultrasound diagnosis was much lower than that of hysteroscopy,the differences of data were statistically significant(P<0.05).However,the positive detection rate and sensitivity ratio data does not have significant difference (P>0.05).ConclusionTransvaginal ultrasound is a method of screening for endometrial lesions better;Vaginal ultrasound combined hysteroscopy examination plays an important role in diagnosis of endometrial lesions after menopause.